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三种脱敏牙膏对牙本质过敏症及唾液生化特性疗效的评估与比较:一项随机对照试验

Evaluation and comparison of efficacy of three desensitizing dentifrices on dentinal hypersensitivity and salivary biochemical characteristics: A randomized controlled trial.

作者信息

Athuluru Deepthi, Reddy Chandrasekhara, Sudhir K M, Kumar Krishna, Gomasani Sreenivasulu, Nagarakanti Sreenivas

机构信息

Department of Public Health Dentistry, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India.

Department of Periodontics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India.

出版信息

Dent Res J (Isfahan). 2017 Mar-Apr;14(2):150-157.

Abstract

BACKGROUND

This study aimed to evaluate and compare the efficacy of three desensitizing dentifrices on dentinal hypersensitivity (DH) and salivary biochemical characteristics.

MATERIALS AND METHODS

A randomized, parallel arm, triple-blinded, clinical trial was conducted over a period of 12 weeks, with a total of three visits: baseline, 6 weeks, and 12 weeks. Calcium sodium phosphosilicate, potassium nitrate and amine fluoride dentifrices were compared. A total of 68 subjects who satisfied the inclusion criteria were included and randomly divided into four groups. Visual analog scale scores for controlled air stimulus were used to assess dentinal sensitivity and salivary pH and buffering capacity were recorded at baseline, 6 and 12 weeks.

RESULTS

All groups showed a reduction in sensitivity scores at 6 and 12 weeks. The calcium sodium phosphosilicate group showed a higher degree of effectiveness in reducing DH than potassium nitrate, amine fluoride dentifrices, and placebo for sensitivity measures. Salivary pH of calcium sodium phosphosilicate group was more toward neutral, and the buffering capacity of the same group showed significant changes from baseline to 6 and 12 weeks compared to the other groups.

CONCLUSION

The desensitizing toothpaste containing calcium sodium phosphosilicate was found to be more effective in reducing DH and showed improvement in salivary biochemical characteristics over a period of 12 weeks compared to others.

摘要

背景

本研究旨在评估和比较三种脱敏牙膏对牙本质过敏症(DH)及唾液生化特征的疗效。

材料与方法

进行了一项为期12周的随机、平行组、三盲临床试验,共进行三次就诊:基线、6周和12周。比较了磷酸硅钙钠、硝酸钾和氟化胺牙膏。共有68名符合纳入标准的受试者被纳入并随机分为四组。使用视觉模拟量表对控制空气刺激的评分来评估牙本质敏感性,并在基线、6周和12周记录唾液pH值和缓冲能力。

结果

所有组在6周和12周时敏感性评分均有所降低。对于敏感性测量,磷酸硅钙钠组在降低DH方面比硝酸钾、氟化胺牙膏和安慰剂显示出更高的有效性。磷酸硅钙钠组的唾液pH值更趋于中性,与其他组相比,该组从基线到6周和12周的缓冲能力有显著变化。

结论

与其他牙膏相比,含磷酸硅钙钠的脱敏牙膏在12周内对降低DH更有效,并在唾液生化特征方面有所改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41db/5443011/46b299e8af23/DRJ-14-150-g001.jpg

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